Individual provider Active NPI

Kotagal Shashi Kant

  • Nephrology Physician
  • Cincinnati, OH
National Provider Identifier
1235195942
Registry record updated Mar 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
35-039100 Issued in OH
Practice address
222 Piedmont Ave
Ste 6000
Cincinnati, OH 45219-4231
Phone
(513) 475-8524
Fax
(513) 475-7327
NPI assigned
Apr 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35-039100 OH
Nephrology Physician 207RN0300X 35-039100 OH Primary

Addresses

Primary practice location

222 Piedmont Ave
Ste 6000
Cincinnati, OH 45219-4231

Mailing address

2830 Victory Pkwy
Ste 310
Cincinnati, OH 45206-3700
Phone (513) 245-3444

Other identifiers 2

IdentifierTypeStateIssuer
0318383MedicaidOH
64739873MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, IN2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040324000001 OH Practitioner - Nephrology 5193616548 Reassigns benefits to 1 organization
I20101206000820 IN Practitioner - Neurology 5193616548 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 1970
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2123 Auburn Ave
Cincinnati, OH 45219-2906

3130 Highland Ave
Cincinnati, OH 45219-2399
Phone (513) 584-4503

3188 Bellevue Ave
Cincinnati, OH 45219-2369
Phone (513) 584-1000

Hospital & facility affiliations

  • Dci - Cincinnati Dialysis facility, Cincinnati, OH, CCN 362504
  • University of Cincinnati Medical Center, LLC Hospital, Cincinnati, OH, CCN 360003

Merit-based Incentive Payment System (MIPS)

Final score
82 of 100Reported as group
Quality
65.97
Promoting interoperability
100
Improvement activities
40
Cost
74.01

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35-039100OHMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Cincinnati Medical Center, LLC Current Accepting new patients
University of Cincinnati Physicians Company, LLC Internal Medicine CurrentSince Apr 1, 2006 Accepting new patients
University of Cincinnati Medical Center, LLC Past Accepting new patients
Daniel Drake Center for Post-Acute Care, LLC Internal Medicine Past Accepting new patients
University Hematology Oncology Care, Inc. Past Accepting new patients
University Internal Medicine Associates, Inc. Internal Medicine Past Accepting new patients
West Chester Hospital LLC Internal Medicine Past Accepting new patients

Locations

232 State Road 129 S
Batesville, IN 47006
Phone (812) 934-5666

1531 N Commerce East Dr
Greensburg, IN 47240
Phone (812) 662-6570

600 Wilson Creek Rd
Ste 340
Lawrenceburg, IN 47025

220 Clifty Dr
Ste K
Madison, IN 47250
Phone (812) 212-2115

151 W Galbraith Rd
Cincinnati, OH 45216
Phone (513) 418-2500

2830 Victory Pkwy
Ste 310
Cincinnati, OH 45206

3130 Highland Ave
Fl 2
Cincinnati, OH 45219
Phone (513) 584-4061

222 Piedmont Ave
Ste 6000
Cincinnati, OH 45219
Phone (513) 475-7880

3199 Highland Ave
Cincinnati, OH 45219
Phone (513) 475-7777

3188 Bellevue Ave
Cincinnati, OH 45219
Phone (513) 558-5281

151 W Galbraith Rd
Ofc
Cincinnati, OH 45216
Phone (513) 948-2639

70 Damon Rd
Cincinnati, OH 45218
Phone (513) 605-1000

3200 Burnet Ave
#3S
Cincinnati, OH 45229

2123 Auburn Ave
#A28
Cincinnati, OH 45219
Phone (513) 585-0523

9275 Montgomery Rd
Montgomery, OH 45242
Phone (513) 936-4510

7690 Discovery Dr
West Chester, OH 45069
Phone (513) 475-7425

7700 University Dr
#2700
West Chester, OH 45069
Phone (513) 475-7452

Interoperability endpoints

  • Direct secure messaging: kkant13424@direct.uchealth.com

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1145577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206057600000",
    "number": "1235195942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2830 VICTORY PKWY",
            "address_2": "STE 310",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452063700",
            "telephone_number": "513-245-3444",
            "fax_number": "513-245-3449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 PIEDMONT AVE",
            "address_2": "STE 6000",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452194231",
            "telephone_number": "513-475-8524",
            "fax_number": "513-475-7327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANT",
        "first_name": "KOTAGAL",
        "middle_name": "SHASHI",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-21",
        "last_updated": "2008-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35-039100",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "OH",
            "license": "35-039100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0318383",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64739873",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.